|
Account Type * |
Select the account type from the following
options in the drop down: Limited Company, Professional Firm, Government,
Non-Limited Business, Sole Trader or Individual. |
Company Name * |
Type in the full name of your company e.g. Joe Bloggs
Limited. If you are an individual, type in your full name e.g. Peter Andrew
Brown. |
Address Line 1 * |
Type in the first line of your address |
Address Line 2 * |
Type in the second line of your address |
Address Line 3 |
Type in the third line of your address (Optional) |
Postcode * |
Type in your postcode |
Country * |
Select a country from the drop down bar (Defaults to
UK) |
Telephone No * |
Type in your telephone number |
Fax No |
Type in your fax number (Optional) |
|
Salutation |
Select your salutation from the the following options
in the drop down, Mr, Mrs, Ms, Miss or leave blank. |
First Name * |
Type in your first name |
Surname * |
Type in your surname |
Email Address * |
Type in your email address. This must be a unique and
valid email address, as your login and password details will be emailed
to this address at the end of the registration process. |
Job Title |
Type in your job title e.g. Director, Manager etc (Optional) |
|
Mobile services |
Select an option Yes or No from the drop down bar to
determine whether or not you would like to use our Mobile
Services. This can be added later. |
Mobile No |
Please enter your number in the international format
e.g. country code, miss out the leading zero and then the mobile number.
For the UK the country code is 44. (e.g. 447123456789.) |
Contract Discount - I would like to
subscribe to a minimum annual contract level in order to obtain a better
discount rate than your standard discount plan
|
Contract Plan |
Select an option "Yes" or "No"
from the drop down to determine whether or not you would like to commit
to a Contract Plan. By commiting to a minimum annual spend, the appropriate
discount level % will be applied to your account straight away. |
Minimum Annual Contract Value £ * |
Select a minimum annual spend amount from the drop
down (this will determine your discount %) |
Discount Level % * |
Your discount level will be shown here, dependent on
your minimum spend amount selected |
I would like to subscribe to a different level than
shown above. Please contact me to discuss it further |
Tick this box if you require a different minimum spend
amount |
I have read & agree the Terms & Conditions
for Contract Pricing * |
Tick this box to agree Terms & Conditions in relation
to the contract spend comittment. |
|
Payment Method * |
Select a payment method from the drop down. Dependent
upon your account type this will be either Credit/Debit Card or Monthly
Invoice. |
|
Credit Card Type * |
Select the type of card from the drop down |
Name on Card * |
Type in the card holder name as it is written on the
card |
Credit Card Number * |
Type in the number going across the face of the card
(without any spaces) |
Start Date * |
Select both the month Start Date and the year Start
Date from the drop down (If applicable) |
Expiry Date * |
Select the Expiry Date from the drop down |
Card Security Number |
Enter in the last three digits on the back of your
card in the signature strip |
Estimated Monthly Spend |
Select an option from the drop down bar: Not Sure,
£0 - £25, £25 - £50, £50 - £100, £100
- £250, £250 - £500, £500 - £1,000 or £1,000
plus. This is only an estimate to help us calculate your credit limit. |
Any Marketing Code - If applicable,
please enter any marketing, promotion or affiliate code.
|
|
I have read & agree your Terms & Conditions
and Privacy Policy
|
Tick this box to agree the Terms & Conditions and
Privacy Policy |
I would like to receive email updates about any new
products, services or special promotions |
Tick this box if you would like to receive any updates
about any new products, services or special promotions |
I would like to receive your quarterly newsletter by
email |
Tick this box if you would like to receive our quarterly
newsletter by email |
I may be interested in earning commission through your
affiliate program, by simply displaying your banner on our website. Please
send me more information |
Tick this box if you would like to receive more information
about our affiliate program. |
I understand that your services could be easily incorporated
within our own system/website using your XML Webservice. Please send me
more information. |
Tick this box if you would like to receive more information
about incorporating our services within your own system/website using
our XML Webservice |
How did you find us? |
Please make a selection from one of the choices in
the drop down. |
Register Button |
Once clicked your details will be validated and an
email will be automatically forwarded enclosing your login details and
password. You must then activate your account by clicking on the link
enclosed within the email. If applicable, your credit limit will be forwarded
by email as soon as we can. |